World Delirium Awareness Day: Demystifying delirium for patients in Weldmar’s care

When a loved one suddenly seems confused, restless, or ‘not quite themselves,’ it can be a frightening experience for families. At Weldmar Hospicecare, we believe that understanding this ‘delirium’ is the first step towards making things better.

Delirium is common but often misunderstood, as it can take many forms. Some people can experience restlessness, agitation, fear, and even hallucinations. Others can experience drowsiness and lethargy, which can often be misdiagnosed as depression or fatigue.

To mark World Delirium Awareness Day on 11th March, we are shining a light on the condition, and our own hospice ‘champion’, Ellie McCall.

Ellie is a Staff Nurse at our Inpatient Unit in Dorchester, and delirium was the subject of her university dissertation. She educates colleagues and leads activities to highlight what delirium is, and how it should be managed.

“Delirium has many triggers,” Ellie explains. “It can be caused by physical illness, certain medications, or even emotional distress and financial worries. It shows up in different ways, from disorientation and incoherent speech to excessive sleeping. My role is to make sure we’re constantly watching for these signs so we can support our patients before they become distressed.”

While medical treatments are sometimes necessary, Ellie emphasises that some of the most effective tools are the simplest ones: “It can be as straightforward as making sure curtains are open through the day and having clocks and calendars in view, so there is a clear sense of time. Encouraging good nutrition and hydration is important, as is the use of music, books, photos and other familiar items, and ensuring visual and hearing aids are being used. We can include interventions from our complementary therapy team, or our spiritual care volunteers if that’s appropriate.

“Delirium can be distressing for relatives so we ensure we look after them, and sit down and explain what’s happening. We reassure them that their loved one is safe and being supported.”

The World Delirium Awareness Day Flag campaign was started as a way to raise awareness and give a chance for organisations to show their commitment to providing good delirium care, and Ellie has designed a flag for Weldmar to mark our involvement.

If you have a loved one in Weldmar’s care and have concerns about confusion or a sudden change in their mood, please don’t hesitate to speak to us on our 24 Hour Advice Line – find the number on your information pack.